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12520 Palm Dr Desert Hot Springs CA 92240-4559 | |
(760) 416-3770 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 12520 Palm Dr, Desert Hot Springs, California |
Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 7603232118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 12520 Palm Dr Desert Hot Springs CA 92240-4559 Ph: (760) 416-3770 |
NPI Number | 1407288061 |
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Provider Enumeration Date | 08/06/2013 |
Last Update Date | 08/09/2024 |
Medicare PECOS PAC ID | 6002989522 |
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Medicare Enrollment ID | O20240413000233 |
Identifier | Type | State | Issuer |
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1407288061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
World Gym Dhs Success Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12155 Palm Dr, Desert Hot Springs, CA 92240 Phone: 760-329-8504 | |